KJK LLC
Organization Active NPI Community/Retail Pharmacy · Dickson, TN
NPI 1467708586 · NPPES record last updated Oct 27, 2025
Key facts
- NPI
- 1467708586
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 0000000324 (TN)
- Legal business name
- KJK LLC
- Practice address
- 127 Crestview Park Dr Ste 100
Dickson, TN 37055-2854 - Phone
- (615) 446-8043
- Fax
- (615) 446-7556
- NPI assigned
- Jul 26, 2012
- Organization subpart
- No
Authorized official
- Name
- Christopher Konecny
- Title
- Pharmd, Cfo
- Phone
- (732) 580-5805
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Church Street Pharmacy
Locations
127 Crestview Park Dr
Ste 100
Dickson, TN 37055
Phone (615) 446-8043
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 0000000324 | TN | Yes |
Addresses
Primary practice location
127 Crestview Park Dr Ste 100
Dickson, TN 37055-2854
Mailing address
127 Crestview Park Dr Ste 100
Dickson, TN 37055-2854
Phone (615) 446-8043
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2136605 | Other | PK | |
| Q045580 | Medicaid | TN |
Other names
- Goodlark Pharmacy
Other providers in Dickson, TN
- Kidney Care Associates PLLC
- Kimberly L Ray PLLC
- Heather F. Kirkpatrick
- Deline Kirubanathan
- Sarah Kite
- Ellie Diane Koehly
- Christopher Paul Konecny
- Rachel Kosan
- Kroger Limited Partnership I
- Rhonda Jean Lafferty
All providers in Dickson, TN · Community/Retail Pharmacy in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.